Bryan J Prukop, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1500 Issued in TX

Practice address

812 Lindberg Ave
McAllen, TX 78501-2930

Phone

(956) 971-9107

Fax

(956) 971-9109

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph M Caporusso DPM PAGroup PAC ID 2264490465, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bprukop@cffc.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph M Caporusso DPM PA

  • Foot & Ankle Surgery Podiatrist
  • McAllen, TX
  • NPI 1255401196
  Medicare reassignment Care Compare group NPD
• Joseph M Caporusso DPM PA

  • Foot & Ankle Surgery Podiatrist
  • McAllen, TX
  • NPI 1174172506
  NPD
• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1053728360
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1114922697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012930",
            "telephone_number": "956-971-9107",
            "fax_number": "956-971-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012930",
            "telephone_number": "956-971-9107",
            "fax_number": "956-971-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUKOP",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046355601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proginosko Behavioral Health & Wellness, LLC
• Promed Preferred TX PLLC
• Prosperity Health Care, LLC
• Providence Medical and Geriatric Associates, PA
• Proximity Healthcare, PLLC
• Claudia Alejandra Pruneda, DDS
• Michelle Pruneda
• Victoria Pruneda
• Puente de Luz Hospice, LLC
• Perla Puente, LPC-A

• Podiatrist in McAllen, TX
• Providers in McAllen, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.